NPI age
20 years
Enumerated 2006-01-16
Across 98 active physical medicine & rehabilitation providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (IA) | 1574095 | |
| 05 (NE) | 47037661525 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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